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General NPI Number Information
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NPI Number | 1689777096
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Entity Type | Individual
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Provider Name | DONNA MARIE LEWIS HELLUMS RDH
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7105 SW HAMPTON ST KAISER PERMANENTE
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City | TIGARD
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State | OR
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Zip | 97223
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Country | US
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Telephone | 503-684-9274
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Fax | 503-624-9210
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Provider Business Mailing Address
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Address Line | 1609 NE 137TH AVE
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City | PORTLAND
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State | OR
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Zip | 97230
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Country | US
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Telephone | 503-257-9421
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H1993
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH00002850
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License Number State | WA
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